Hello this is Bailey a 6 month old Shi-tzu with elevated bile acids and liver enzymes.

The US showed “Swollen” kidneys, no sand in the bladder, small liver but not markedly. I suspect that the liver will get smaller the older the pet gets if it truly is a shunt.We tried tracing the portal vein it’s entire length but seem to lose it cranially. We believe we can see it on some images under the bile duct near the GB but has little to no color flow. 

Hello this is Bailey a 6 month old Shi-tzu with elevated bile acids and liver enzymes.

The US showed “Swollen” kidneys, no sand in the bladder, small liver but not markedly. I suspect that the liver will get smaller the older the pet gets if it truly is a shunt.We tried tracing the portal vein it’s entire length but seem to lose it cranially. We believe we can see it on some images under the bile duct near the GB but has little to no color flow. 

I posted CF pictures that show a possible connection but I could not find a tortuous vein in 2 D. Wonder if this is real or color bleeding?

Looked at the CVC to PV ratio and appears normal but we lose the PV right at that location. Wondering if these images are suggestive of it or if it would require a further work-up to confirm. Does look like turbulent flow and attempted to adjust the doppler to ensure it wasen’t artifact. Thanks. Looking forward to impressions. Brent.